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Organization

SSM HEALTH CARE OF OKLAHOMA, INC

Active
Parent organization
SSM HEALTHCARE OF OKLAHOMA INC
Other names
ST ANTHONY HERITAGE FAMILY MEDICINE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSM HEALTHCARE OF OKLAHOMA INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization

Contact information

Practice address
6908 E RENO AVE, BUILDING 1, MIDWEST CITY, OK 73110-2128
(405) 737-6871
(405) 733-4281
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 737-6871
(405) 733-4281

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/03/2011
Last updated
07/08/2011
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